MATEO LODGE, INC.
NPI 1255474920
Clinic/Center - Mental Health (Including Community Mental Health Center) in San Mateo, CA

Q: What is Mateo Lodge, Inc.'s NPI number?

The NPI number for Mateo Lodge, Inc. is 1255474920. It was assigned to this organization in the NPPES registry on February 14, 2007. The provider is also known as Humboldt House.

Q: What is Mateo Lodge, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for Mateo Lodge, Inc. was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 14, 2007

232 S HUMBOLDT ST, SAN MATEO, CA 94401(650) 568-9006 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mateo Lodge, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATEO LODGE, INC. (NPI 1255474920) is a healthcare organization registered as a mental health (including community mental health center) in San Mateo, California and active in the NPI registry since February 2007. The organization lists Mary Beth Sandoval, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255474920

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameMATEO LODGE, INC.

Location Address232 S HUMBOLDT STSan Mateo, CA 94401-2954

Mailing Address232 S Humboldt StSan Mateo, CA 94401-2954

Phone(650) 568-9006

Organization SubpartNo

Authorized OfficialMary Beth SandovalCeo · (650) 703-3462

Enumeration DateFebruary 14, 2007

Last NPPES UpdateAugust 12, 2025

NPPES CertifiedAugust 12, 2025

✔ NPI 1255474920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X · License 415600236 (CA)

232 S HUMBOLDT ST, San Mateo, CA 94401

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Other Names 1

Other NameHumboldt House

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MOLLY TOUSE

Counselor

232 S HUMBOLDT ST
SAN MATEO, CA 94401

San Mateo County (650) 344-5522

LENA HERBERT

Day Training/Habilitation Specialist

232 S HUMBOLDT ST
SAN MATEO, CA 94401

San Mateo County (650) 344-5522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mateo Lodge, Inc.'s NPI number?

The NPI number for Mateo Lodge, Inc. is 1255474920. It was assigned to this organization in the NPPES registry on February 14, 2007. The provider is also known as Humboldt House.

Where is Mateo Lodge, Inc. located?

Mateo Lodge, Inc. is located at 232 S Humboldt St, San Mateo, CA 94401. The listed phone number is (650) 568-9006.

What is Mateo Lodge, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Mateo Lodge, Inc. was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.